Question:
Management of uterine septum?
Management of uterine septum?
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The uterine septum is best treated by a minimally invasive intracavitary approach through the cervix.
Updated On: Jun 23, 2026
- Laparoscopic resection of septum
- Hysteroscopic resection of septum
- Uterine metroplasty
- Laparotomy and resection
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The Correct Option is B
Solution and Explanation
Step 1: Define uterine septum.
A uterine septum is a Mullerian duct anomaly (Class V) where there is a fibromuscular partition partially or completely dividing the uterine cavity. It is the most common Mullerian anomaly and the most common cause of recurrent pregnancy loss among uterine anomalies.
Step 2: Treatment options.
The treatment of choice for a uterine septum is hysteroscopic metroplasty (hysteroscopic resection of the septum). This is a minimally invasive procedure performed through the cervix using a hysteroscope.
Step 3: Why hysteroscopy?
- Safe, simple, and effective procedure.
- No abdominal incision required.
- Attains optimal obstetric outcomes - reduces recurrent miscarriage rate significantly.
- Laparoscopic or open metroplasty (Tompkins or Jones procedure) was used historically for bicornuate uterus, NOT for septate uterus.
- Laparotomy is invasive and not indicated for septate uterus in modern practice.
Step 4: Conclusion.
Hysteroscopic resection of the septum is the gold standard treatment.
A uterine septum is a Mullerian duct anomaly (Class V) where there is a fibromuscular partition partially or completely dividing the uterine cavity. It is the most common Mullerian anomaly and the most common cause of recurrent pregnancy loss among uterine anomalies.
Step 2: Treatment options.
The treatment of choice for a uterine septum is hysteroscopic metroplasty (hysteroscopic resection of the septum). This is a minimally invasive procedure performed through the cervix using a hysteroscope.
Step 3: Why hysteroscopy?
- Safe, simple, and effective procedure.
- No abdominal incision required.
- Attains optimal obstetric outcomes - reduces recurrent miscarriage rate significantly.
- Laparoscopic or open metroplasty (Tompkins or Jones procedure) was used historically for bicornuate uterus, NOT for septate uterus.
- Laparotomy is invasive and not indicated for septate uterus in modern practice.
Step 4: Conclusion.
Hysteroscopic resection of the septum is the gold standard treatment.
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